Provider Demographics
NPI:1154002889
Name:LOYAL HOSPICE & PALLIATIVE CARE, LLC
Entity type:Organization
Organization Name:LOYAL HOSPICE & PALLIATIVE CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-788-0027
Mailing Address - Street 1:5059 S LAKEWOOD RD # B.1
Mailing Address - Street 2:
Mailing Address - City:FORT MOHAVE
Mailing Address - State:AZ
Mailing Address - Zip Code:86426-6501
Mailing Address - Country:US
Mailing Address - Phone:928-201-4444
Mailing Address - Fax:
Practice Address - Street 1:5059 S LAKEWOOD RD # B.1
Practice Address - Street 2:
Practice Address - City:FORT MOHAVE
Practice Address - State:AZ
Practice Address - Zip Code:86426-6501
Practice Address - Country:US
Practice Address - Phone:928-201-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health